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UK's NICE Recommends Use Of Erbitux For Metastatic Colorectal Cancer Patients
The United Kingdom"s National Institute for Health and Clinical Excellence (NICE) has published a Final Appraisal Determination (FAD) recommending the use of the drug Erbitux® (cetuximab) in combination with chemotherapy as a first-line treatment for patients with metastatic (advanced) colorectal cancer (mCRC) who have met specific additional criteria(1) - presenting the possibility of potentially curative surgery.(2) The treatment is recommended for patients in whom the cancer has spread only to the liver and who have normal or "wild-type" KRAS tumors.(1) In the UK, a recommendation by NICE is a prerequisite for funding of a medical treatment by the National Health Service.
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WHO Reviews Antiretroviral Recommendations For Pregnant, Breastfeeding Women With HIV
The World Health Organization is reviewing its 2006 guidelines on the use of antiretroviral drugs by HIV-positive pregnant and breastfeeding women because of new evidence that prolonged use can cut the risk of mother-to-child transmission, Reuters reports. Current guidelines recommend that these women receive a short-course antiretroviral regimen. However, a new study released at an international AIDS conference on Wednesday shows that a stronger regimen over a prolonged period significantly lowers the risk of mother-to-child transmission.The study examined 824 pregnant women in Burkina Faso, Kenya and South Africa who received either the standard antiretroviral regimen or a combination of three antiretrovirals. The combination regimen was administered during the last trimester and for a maximum of six months during breastfeeding, according to study leader Tim Farley of WHO"s Department of Reproductive Health. Farley said women who received the combination regimen during pregnancy, delivery and breastfeeding had a 42% lower risk of transmitting HIV to their infants than women given the standard course.Farley added, "The results of this study show an almost twofold reduction in the risk of HIV transmission during the breastfeeding period and also [show] there is no short-term toxicity" to the women or their infants. He said that participants will be monitored for any long-term health effects. WHO is expected to release the updated recommendations by the end of the year (Roelf, Reuters, 7/21).
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A Silly Pat On The Head Helps Seniors Remember Daily Med
Doing something unusual, like knocking on wood or patting yourself on the head, while taking a daily dose of medicine may be an effective strategy to help seniors remember whether they"ve already taken their daily medications, suggests new research from Washington University in St. Louis.
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Bacterial 'Sex' Causes Antibiotic Resistance

Some disease-causing bacteria are becoming resistant to antibiotics because they have peculiar sex lives, say researchers publishing new results in the journal Science. The new study helps scientists understand how bacteria develop resistance to antibiotics, which is a major challenge for those treating infectious diseases, say the authors from Imperial College London. Today"s research looks at bacteria called pneumococcus (Streptococcus pneumoniae), which cause diseases including pneumonia and bacterial meningitis. Pneumococcal infections cause approximately one million deaths every year globally and the bacteria are becoming resistant to many antibiotics, making treatment increasingly difficult. The scientists behind this study believe this resistance is due to the pneumococcal bacteria adapting by occasionally picking up DNA from other bacteria, even from other species. Dr William Hanage, the lead author of the study from Imperial College London, said: "Bacteria have very peculiar sex lives. When humans have kids they mix up their DNA with that of their partner, but bacteria can pick up DNA from all sorts of places, even other species. Our research shows that bacteria which do this, that is undergo sex, with their own and other species are more likely to develop resistance to antibiotics, protecting them from being killed by these drugs." Bacteria reproduce asexually, by splitting in two to produce identical "daughter" cells. Sometimes, however, they can take up DNA from other bacteria or the environment, and incorporate it into their own genome. This mixing process, called recombination, is what happens in animals during sexual reproduction. It is most common between bacteria of the same species but, unlike animals, bacteria can sometimes undergo recombination with different species of bacteria, which means the daughter cells end up with DNA from those species. Some combinations of DNA help bacteria to survive better. It appears that antibiotic resistant strains of pneumococcus are more likely to mix up their DNA in this way, and so are more likely to hit upon the adaptation which helps them resist antibiotic treatment. Dr William Hanage added: "Antibiotic resistance is a growing problem, particularly for potentially dangerous pneumococcal infections. Our new findings help us to understand how bacteria can wriggle their way out of tight spaces, finding ways to evade the drugs we bombard them with. Ultimately, we hope that we could use this knowledge to limit the emergence of new types of antibiotic resistance." The researchers examined DNA from 1,930 different S. pneumoniae strains, as well as three closely related species, S. mitis, S. pseudopneumoniae and S. oralis collected by a method called Multi Locus Sequence Typing (MLST). They were able to find strains with DNA which suggested recombination, or the mixing of DNA with other members of the same species, and other closely related ones. The researchers then compared these results with data on resistance to the commonly-used antibiotics penicillin, erythromycin, tetracycline, chloramphenicol and cefotaxime. They found that bacteria with mixed DNA were more likely to be resistant to antibiotics, suggesting a link between recombination and antibiotic resistance. This research was funded by The Royal Society, a BBSRC studentship and a grant from the Academy of Finland. Lucy Goodchild Imperial College London


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